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Use of epidural spinal cord stimulation to influence motor and autonomic functions after complete spinal cord injury
Fořtová, Martina ; Rybka, Vojtěch (advisor) ; Krausová, Lucie (referee)
Title: Use of epidural spinal cord stimulation to influence motor and autonomic functions after complete spinal cord injury The main objective: The main aim of the bachelor thesis was to investigate the use of epidural spinal cord stimulation (eSCS) to influence motor and autonomic functions in an individual with complete spinal cord injury. We investigated whether it is possible to stimulate individual segments in the lumbosacral spinal cord after electrode implantation to restore voluntary lower limb movements and subsequently standing. We also investigated the effect on the autonomic nervous system, spasticity or trunk stability. Methods: An individual with a complete spinal cord lesion was selected for the study and implanted with a spinal cord stimulator with a 32-lead electrode inserted into the spinal canal at the L1-L2 level. The entire therapy lasted 9 months. Four examinations were performed. Before the start of the therapy, then after three and six months and the exit examination was performed after nine months of stimulation. During the examination, stimulation programs were set up primarily to stimulate muscle groups in the lower limbs. Once a certain level of control and muscle strength was achieved, stimulation was started in the sitting position, and as stability and strength...
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The use of dual task training in rehabilitation of patients after acquired brain injury
Hanzlíková, Kateřina ; Krivošíková, Mária (advisor) ; Klimošová, Sylva (referee)
Title: The use of dual task training in rehabilitation of patients after acquired brain injury Abscract: Patients after acquired brain damage may have a range of cognitive, motor, psychological, phatic, or sensory difficulties. These impairments impact the individual's performance in personal and instrumental activities of everyday live. Simultaneously, patients may lose functions that were previously automatic, such as the ability to maintain postural control. Therefore, they need to make more effort to consciously control movement and because of this, the ability to perform two tasks at the same time is reduced. However, the conditions of a normal day require simultaneous execution of multiple interactions. The cognitively oriented Day Care Centre of The Department of Rehabilitation Medicine of the General Hospital and the First Medical Faculty of Charles University includes a dual task program for patients after acquired brain injury, which focuses on training of cognitive and motor functions. The theoretical part of this thesis is addressing the issue of dual task paradigm. The aim of the practical part is to evaluate the effect of this 4week intensive program on cognitive, motor functions and self-sufficiency of individuals after acquired brain injury. To determine the effect of the dual task program,...
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Rehabilitation of Pediatric Patients after Epilepsy Surgery with Postoperative Motor Deficits.
Duchoslav, Anna ; Kudr, Martin (advisor) ; Krivošíková, Mária (referee)
In its general section, the thesis 'Rehabilitation of Pediatric Patients after Epilepsy Surgery with Postoperative Motor Deficits' discusses epilepsy, treatment of intractable epilepsy and epilepsy surgery. Furthermore, a chapter on possible complications of epilepsy surgery in relation to the locomotor apparatus is included in the general section. The special section deals with rehabilitation in neurology, selected physiotherapy concepts and the relationship between epilepsy and movement activity. The aim of this thesis is to assess the effectiveness of the chosen rehabilitation procedure in five pediatric patients with post-operative motor deficiency. The Gross Motor Function Measure - 88, the Barthel Index and the Box and Blocks Test were used for objective motor assessment.
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Changes motor functions in mouse model of cerebellar degeneration in the course of the ontogenesis
Šalomová, Martina ; Jelínková, Dana (advisor) ; Kubik-Zahorodna, Agnieszka (referee)
The cerebellum affects a number of important and complex processes in the organism. It ensures coordination, motor learning and plays an important role in cognitive and affective functions. In the case of cerebellar degeneration, we find not only the movement disorders but also behavioral abnormalities, collectively referred to as cognitive-affective syndrome. The aim of this work was to investigate motor functions during ontogenesis in animal models of hereditary cerebellar degeneration - mutant mice Lurcher and Purkinje cell degeneration using the device for quantitative gait analysis and rotarod. In addition, the effect of physical activity on the extent of ataxia and manifestations in classical behavioral tests was monitored. The results confirmed significant differences in motor skills between mutant and healthy mice; differences were also observed in some gait parameters, especially in walking speed and parameters that correlate with it. The motor functions of most groups of mice did not change during ontogenesis, pcd mice deteriorated their performance on the rotarod. The effect of physical activity was not found, with the exception of Forced swimming test. Physical activity of set intensity did not have any beneficial effect on the motoric manifestations of the mice.
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The level of motoric development of Tumultus sermonis children.
KAPRÁLKOVÁ, Věra
Bachelor thesis is devoted to the motor function level of a preschool age child with a cluttering, or with accelerated or precipitous tempo of speech. In the thesis is introduced the concept of cluttering, showed its definition, causes, symptoms and treatment options. The thesis points out the similarities of cluttering with ADHD syndrome. Bachelor thesis also acquaints with a motor function which is divided into gross motor skills, fine motor skills, graphic development, oromotor and micromotor skills. The thesis determines child level of motor function with cluttering diagnosis or with accelerated or precipitous tempo speech diagnosis and in chosen parts the survey compares with a research of E. Vymlátilová named "Psychological findings at children with cluttering" written in a year 1973. Keywords:
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